KIM MATTSON

PHOENIX, AZ
NPI1053473587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: WA  RN00097025)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- KIM MATTSON
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- KIM MATTSON
PO BOX 31001
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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